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1902210768
KENNETH HOLLOWAY
WICHITA, KS
NPI
1902210768
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KS 168)
Enumeration Date
2014-06-19
Last Update Date
2014-06-19
Business Address
-- KENNETH HOLLOWAY MPH, LCAC
2924 E DOUGLAS AVE
WICHITA, KS 67214-4709
Phone number: 316-265-8511
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Mailing Address
-- KENNETH HOLLOWAY MPH, LCAC
2924 E DOUGLAS AVE
WICHITA, KS 67214-4709
Phone number: 316-265-8511
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